MARK SHANE GILLISPIE

SACRAMENTO, CA
NPI1932612025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  A178118)
Enumeration Date2017-11-10
Last Update Date2022-06-08
Business Address
MARK SHANE GILLISPIE
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-5010
Mailing Address
MARK SHANE GILLISPIE
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-5010
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